46D1031914 CLIA NUMBER - FRESH MARKET PHARMACY #2378 DBA MACEY'S INC, #1071

Laboratory Demographics

  • CLIA Code: 46D1031914
  • Facility Name: FRESH MARKET PHARMACY #2378 DBA MACEY'S INC, #1071
  • Facility Address: 135 E MAIN ST
    AMERICAN FORK, UT
    ZIP 84003
  • Facility Phone: 801 756-2411
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY HATTINGH
  • NPI Number: 1891028106
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D1031914
LAB Type Pharmacy
Facility Name FRESH MARKET PHARMACY #2378 DBA MACEY'S INC, #1071
Street 135 E MAIN ST
City AMERICAN FORK
State UT
ZIP 84003
Phone 801 756-2411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Pharmacy
Lab Director ASHLEY HATTINGH

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This page was last updated on: 9/29/2025